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Healthcare · head to head

Open Dental vs Paige

Open Dental logo

Open Dental

Healthcare

Powerful, Affordable Practice Management

From
$169/month
Rated
-
Paige logo

Paige

Healthcare

Digital pathology AI holding the first FDA De Novo authorisation for a pathology algorithm, now part of Tempus

From
On request
Rated
-

The short version

  • Each has a real cost: Open Dental uS support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year; Paige the FDA authorisation is confined to prostate core needle biopsies, on compatible scanners, viewed through FullFocus, as an adjunct only; every other tissue type and every grading claim is outside that authorisation in the United States.
  • They diverge on capability: Open Dental covers Patient scheduling, Paige covers Paige Prostate Detect.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Open Dental and Paige actually diverge.

Attributes where Open Dental and Paige differ
AttributeOpen DentalPaige
Starting price$169/monthOn request
Pricing modelsubscriptionquote
PlatformsWindows, Web, ApiWeb, Cloud, On-premise
Founded2003Unknown

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Open Dental

  • Patient scheduling
  • Clinical charting
  • Insurance claim processing
  • Treatment planning
  • Digital imaging integration
  • Patient communication
  • Reporting and analytics
  • eServices integration

Only in Paige

  • Paige Prostate Detect
  • Paige Prostate Grade and Quantify
  • Perineural invasion detection
  • Breast and lymph node applications
  • FullFocus viewer
  • Foundation models
  • OmniScreen
  • Paige Alba

What people use each for

The jobs each tool is most often brought in to do.

Open Dental

  • Practice management, charting and scheduling for dental officesnot Paige
  • Dental insurance claims, billing and treatment planningnot Paige
  • Running an open source dental system with direct database accessnot Paige

Paige

  • A reference laboratory processing high volumes of prostate core needle biopsies where a second read on every case is not staffablenot Open Dental
  • A pathology department already digitised that wants a documented safety net against missed small foci of cancernot Open Dental
  • A hospital laboratory struggling to recruit uropathology subspecialists and needing consistency across generalist reportingnot Open Dental
  • A pharmaceutical company needing consistent biomarker scoring across trial sites rather than site-by-site pathologist variabilitynot Open Dental

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Open Dental

  • US support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year
  • The monthly fee covers up to 3 providers per location; each additional provider is $20 per month
  • Fees are charged per location, so a multi site practice pays for every office
  • eServices are charged separately per location, including eClipboard at $45 a month, ODMobile at $35 a month and eConfirmations at $25 a month
  • Electronic prescribing through DoseSpot costs $57 per month per prescribing provider
  • Conversion and implementation fees are not published and require consultation

Paige

  • The FDA authorisation is confined to prostate core needle biopsies, on compatible scanners, viewed through FullFocus, as an adjunct only; every other tissue type and every grading claim is outside that authorisation in the United States.
  • The algorithm is worthless without a digital pathology programme already running, and slide scanning, storage and workflow typically cost far more than the software licence.
  • Tempus acquired Paige in 2025, so the roadmap now competes for attention inside a genomics-led business, and the pathology-only buyer is no longer the primary customer.
  • Scanner compatibility is a hard constraint rather than a preference, and a laboratory with an unsupported scanner fleet cannot use the authorised indication at all.
  • Pricing is per case or per slide and unpublished, so a laboratory cannot model cost per reported case without entering a sales process.

Pricing, plan by plan

Open Dental

$169/month
  • Standard$169/month
    • Full software access
    • Unlimited workstations
    • Technical support
  • Cloud$249/month
    • Everything in Standard
    • Cloud hosting
    • Automatic backups

Paige

On request
  • Paige clinical applications$undefined/year
    • Priced per case or per slide analysed under annual agreement
    • Prostate, breast and other applications licensed separately
    • Requires compatible whole slide scanner and the FullFocus viewer for the authorised indication

Which should you pick?

Choose Open Dental if

  • You need patient scheduling.
  • You work on Windows, Web, Api.
  • You also want clinical charting.

Choose Paige if

  • You need paige prostate detect.
  • You work on Web, Cloud, On-premise.
  • You also want paige prostate grade and quantify.

Questions people ask

Is Open Dental or Paige better?
Neither clearly leads. Open Dental starts at $169/month and Paige at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Open Dental or Paige?
Open Dental starts at $169/month and Paige at On request.
Does Open Dental or Paige run on more platforms?
Open Dental runs on Windows, Web, Api. Paige runs on Web, Cloud, On-premise.
What is Open Dental best used for?
Open Dental is most often used for practice management, charting and scheduling for dental offices, dental insurance claims, billing and treatment planning, running an open source dental system with direct database access. Of those, practice management, charting and scheduling for dental offices and dental insurance claims, billing and treatment planning are not what Paige is typically brought in for.
What can Open Dental do that Paige cannot?
Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Paige covers Paige Prostate Detect, Paige Prostate Grade and Quantify, Perineural invasion detection, Breast and lymph node applications.

Answered from the vendors’ own pages

Open Dental: How much does Open Dental cost?

Open Dental costs $199/month per location or office with a 12-month contract minimum. After the initial 12-month term, pricing continues on a month-to-month basis at a reduced rate.

Source
Paige: What exactly is FDA authorised?

Paige Prostate Detect, as an adjunct for identifying areas of interest on digitised prostate core needle biopsy slides, viewed through the Paige FullFocus viewer on a compatible scanner. Nothing else in the portfolio holds that authorisation in the United States.

Open Dental: What does the $199/month fee include?

The monthly fee includes software access, full telephone support, all software releases, imaging and video capture, patient portal and web forms, and automated reminder features for up to 3 dentists per location.

Source
Paige: Is the European position broader?

Yes. The Paige Prostate suite including grading and quantification received IVDR certification in 2025, which covers more than the United States authorisation.

Open Dental: Does Open Dental offer a money-back guarantee?

Open Dental includes a 90-day money-back guarantee on subscription fees.

Source
Paige: What did the pivotal study measure?

Pathologist cancer detection on individual slide images improved, with reported reductions in false negative and false positive readings. It measured pathologist performance with the tool, not standalone algorithm accuracy.

Open Dental: What additional costs are there?

Data conversions from other dental software systems incur additional fees. Customized training with an Open Dental trainer is also available at extra cost.

Source
Paige: Who owns Paige now?

Tempus AI acquired Paige in 2025. Products remain branded Paige.

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